Organization · Type 2 NPI
5th Medgrp-Minot
Military/U.S. Coast Guard Pharmacy · Minot Afb, ND
Practice location
194 Missile Ave
Minot Afb, ND 58705-5008
Fax (701) 723-5302
Mailing address
5th Medical Group, 10 Missile Ave.
Minot Afb, ND 58705
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Military/U.S. Coast Guard Pharmacy Primary | 332000000X | None listed |
| Pharmacy | 333600000X | None listed |
Military/U.S. Coast Guard Pharmacy: A Department of Defense (DoD) or U.S. Coast Guard entity whose primary function is to store, prepare and dispense pharmaceuticals and other associated items to Uniformed Services beneficiaries. These pharmacies may be associated with a DoD or U.S. Coast Guard clinic, DoD Hospital or freestanding. Usually associated with outpatient services.
16 other providers at this address
- Adewale Ajulo, PHARMACISTPharmacist Minot Afb, ND NPI 1659089530
- Andrea Marie Larocque, PA-CPhysician Assistant Minot Afb, ND NPI 1396594263
- Angela HeinzeRegistered Nurse Minot Afb, ND NPI 1407733215
- April Elizabeth Warren, DNP, FNP-C, PMHNP-CFamily Nurse Practitioner Minot Afb, ND NPI 1982853776
- Brian Grant Kay, LCSWClinical Social Worker Minot, ND NPI 1154618973
- Erin Lynn BradfordDiabetes Educator Registered Nurse Minot Afb, ND NPI 1891649653
- James Morris Passmore, DPT, OCS, FAAOMPTPhysical Therapist Minot Afb, ND NPI 1407284599
- James W. Koll, DDSGeneral Practice Dentistry Minot Afb, ND NPI 1528357431
- Kasumi AndersonPhysician Assistant Minot Afb, ND NPI 1588113658
- Kiernan JuddAddiction (Substance Use Disorder) Counselor Minot Afb, ND NPI 1417806670
- Nicholas G. Grennell, DDSGeneral Practice Dentistry Minot, ND NPI 1528702347
- Noah RussellPhysician Assistant Minot Air Force Base, ND NPI 1235672114
About NPI 1801201793
5th Medgrp-Minot's National Provider Identifier is 1801201793, issued on Jun 30, 2014. The primary taxonomy on file is Military/U.S. Coast Guard Pharmacy (332000000X), and the practice location is in Minot Afb, ND. The record was last updated on May 29, 2025.